STAR COUNCIL ON SUBSTANCE ABUSE (NPI# 1336254184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336254184 |
| Entity Type | Organization |
| Organization Name | STAR COUNCIL ON SUBSTANCE ABUSE |
| Practice Address |
239 S Virginia St Stephenville TX 76401-4344 |
| Practice Telephone | 2549655515 |
| Practice Fax Number | 2549657416 |
| Mailing Telephone | 2549655515 |
| Mailing Fax Number | 2549657416 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANNY BOITNOTT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2549655515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
859-A | TX | Ambulatory Health Care Facilities |
| Street Address |
239 S VIRGINIA ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-4344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649726050 | Justina Arnett | Counselor | 239 S Virginia St, Stephenville, TX 76401-4344 | 2016-08-27 |
| 1306116967 | Cassandra Sue Hanna | Counselor | 239 S Virginia St, Stephenville, TX 76401-4344 | 2012-01-12 |
| 1972734960 | Martin D Phillips | Counselor | 239 S Virginia St, Stephenville, TX 76401-4344 | 2009-08-07 |
| 1528237666 | Brenda L Hansen | Counselor | 239 S Virginia St, Stephenville, TX 76401-4344 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144601899 | Innovation Recovery Resource | Clinic/Center | 260 N Belknap St, Stephenville, TX 76401-3449 | 2015-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860406 | Dfw Drug Rehab, LLC | Clinic/Center | 1251 S Sherman St Ste 110, Richardson, TX 75081-6509 | 2020-10-29 |
| 1316553019 | Trinity Health System | Clinic/Center | 13101 Preston Rd Ste 425, Dallas, TX 75240-5278 | 2020-09-17 |
| 1548881683 | South Meadows Recovery, Inc. | Clinic/Center | 15505 Patrica St, Austin, TX 78728-3923 | 2020-04-29 |
| 1376178053 | Liberty Lodge, Inc. | Clinic/Center | 160 Fm 2507, Alice, TX 78332-7763 | 2020-03-03 |
| 1730713769 | Cen-tex Alcoholic Rehabilitation Center, Inc. | Clinic/Center | 2410 E Adams Ave, Temple, TX 76501-4600 | 2020-02-28 |
| 1154953917 | Finch Clinic, Pllc. | Clinic/Center | 1105 Memorial Dr Ste 102, Denison, TX 75020-2043 | 2020-02-10 |
| 1265063689 | Cenikorfoundation | Clinic/Center | 5501 Interstate Hwy 37, Corpus Christi, TX 78408 | 2020-02-04 |
| 1598306862 | Ethos Wellness-the Prairie Recovery Center | Clinic/Center | 5808 Wagner Rd, Round Top, TX 78954-5075 | 2019-10-08 |
| 1619539509 | Arc Counseling LLC | Clinic/Center | 5700 Nw Central Dr Ste 130, Houston, TX 77092-2000 | 2019-07-01 |
| 1982261988 | Davecolephd and Associates | Clinic/Center | 4702 Old Spanish Trl Ste 106, Houston, TX 77021-1718 | 2019-05-24 |
| Find all providers with the same taxonomy | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
Please comment or provide details below to improve the information on STAR COUNCIL ON SUBSTANCE ABUSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.